eHealthInsurance.com Investor Relations – News Release

eHealth survey offers insurers’ perspectives on how to cover more
consumers, lower premiums, and position their plans to participate in
the 2019 ACA market

MOUNTAIN VIEW, Calif.--(BUSINESS WIRE)--Mar. 19, 2018--
As negotiations for a bipartisan plan to stabilize the Obamacare health
insurance markets continue, eHealth, Inc. (Nasdaq: EHTH) (eHealth.com)
has released results from a new survey of health insurance companies.

eHealth’s analysis offers an early glimpse into how insurers plan to
participate in Affordable Care Act (ACA) markets for the 2019 plan year
and what they view as necessary legislative changes to expand coverage
and stabilize the health insurance market under the ACA.

Key findings:

Most insurers intend to maintain or expand market participation in
2019: Nearly six in ten insurers (58 percent) said they intend to
either maintain or expand their current level of participation in ACA
markets for 2019; 21 percent remain undecided

Looser essential health benefits ranked as most important for
expanding coverage: Nearly seven in ten respondents (68 percent)
said allowing insurers to offer plans with relaxed benefit structures
would attract more consumers to ACA markets, including young people
under the age of 30

Reinstating cost-sharing reductions and funding reinsurance could
lower premiums: Nearly eight in ten insurers (79 percent) said
legislation to introduce a reinsurance program was somewhat or very
important, and nearly 40 percent said bringing back cost-sharing
reductions would likely lead them to lower premiums

eHealth’s survey was conducted on a voluntary, anonymous basis online by
email invitation to a broad range of health insurers. Invitees included
the industry’s largest national non-profit and for-profit insurers,
collectively covering more than 200 million Americans. Responses from a
total of 19 insurance companies were collected between February 26 and
March 12, 2018.

MARKET STRATEGIES FOR 2019

ACA Market Participation

Nearly one-third (32 percent) of insurers responding to eHealth’s survey
said they intend to maintain their current level of participation in the
market, while another 26 percent said they intend to broaden it. Only 5
percent said they intend to shrink their participation in the ACA market
for 2019, though 21 percent said their strategy was undecided at this
time.

Only 6 percent of respondents said they intend to increase health
insurance premiums by more than 10 percent in 2019.

While 21 percent of respondents said they are currently not
participating in the ACA market, only 16 percent indicated that they
intended to stay out of the market next year.

Among those insurers who had already exited the ACA market, half (50
percent) said they might be enticed back by looser essential health
benefit requirements. A quarter (25 percent) said legislation
introducing a reinsurance program might bring them back into the market.

Changes to Health Plan Offerings

When asked what changes they were likely to make next year, 29 percent
of insurers said they intend to add to the number of plans they offer.
Twenty-four percent said they intend to restrict their provider
networks, while nearly 18 percent report plans to expand their network
of providers.

Only 18 percent of insurers surveyed said they intend to reduce the
number of plans they offer in ACA markets for the 2019 plan year.

ATTRACTING MORE PEOPLE INTO THE INSURANCE MARKET

Relaxing Essential Health Benefit Requirements

When asked about ways to improve the ACA market and make it more
attractive to a wide range of consumers, including those under the age
of 30, most insurers described changes that would allow them to offer
less-costly coverage options.

Sixty-eight percent of insurers said that being able to offer plans with
greater flexibility around essential health benefits than allowed under
current law was critical to enticing more people into the market; more
than half (58 percent) suggested loosening health benefits requirements
specifically for people under the age of 30. Thirty-seven percent
suggested expanding age band ratings beyond the current 3:1 ratio.

More than a third (37 percent) of insurers responding to the survey said
broadening the availability of premium subsidies would likely help to
expand coverage. The same number (37 percent) expressed interest in
making additional subsidies available to people under age 30. Eleven
percent said repealing the provision of the ACA allowing young people to
stay on a parent’s plan until age 26 would help to expand coverage and
stabilize the market.

Expanding Short-term and Association Health
Plans

More than half (52 percent) of respondents said that allowing short-term
plans with coverage periods beyond 90 days would encourage more people
to buy some form of health insurance.

Sixty-seven percent of insurers expect more consumers to sign up for
short-term health plans if the maximum duration for these policies is
expanded beyond 90 days and fewer to sign up for ACA-compliant coverage;
only 20 percent thought the change would have no significant effect on
their ACA business. (For additional insights, refer to eHealth’s recent
report on the short-term market.)

Just 6 percent of insurers responding to eHealth’s survey said they plan
to sponsor an association health plan in response to the Trump
administration’s new rules.

STABLIZING THE ACA MARKET, 2019 PREMIUMS

Reinsurance Funding

Forty-two percent of insurers said legislation introducing a reinsurance
program would help to stabilize the market.

Reinstating Cost-sharing Reduction Payments

Forty-two percent of insurers said that reinstating the ACA cost-sharing
reduction payments, which the Trump administration ceased making in late
2017, is likely to have a positive impact on the market’s stability.
Nearly four in ten (39 percent) said doing so would likely lead their
company to reduce monthly premiums or slow the rate of premium
increases. Twenty-eight percent of insurers said that reinstating
cost-sharing reduction payments would not impact premiums.

Repeal of the Individual Mandate’s Tax Penalty

The majority of insurers – nearly 56 percent – said the penalty’s repeal
will make no difference in their approach to the ACA market. Twenty-two
percent said it will lead their company to institute higher premium
increases for 2019. Just 6 percent say the tax penalty’s repeal will
likely cause them to leave the market entirely.

About eHealth

eHealth, Inc. (NASDAQ: EHTH) owns eHealth.com, a leading private online
health insurance exchange where individuals, families and small
businesses can compare health insurance products from brand-name
insurers side by side and purchase and enroll in coverage online and
over the phone. eHealth offers thousands of individual, family and small
business health plans underwritten by many of the nation's leading
health insurance companies. eHealth (through its subsidiaries) is
licensed to sell health insurance in all 50 states and the District of
Columbia. eHealth also offers educational resources, exceptional
telephonic support, and powerful online and pharmacy-based tools to help
Medicare beneficiaries navigate Medicare health insurance options,
choose the right plan and enroll in select plans online or over the
phone through Medicare.com (www.Medicare.com),
eHealthMedicare.com (www.eHealthMedicare.com)
and PlanPrescriber.com (www.PlanPrescriber.com).